ALEXANDRA GARCIA
HOUSTON,TX
Summary
Organized and dependable candidate with knowledge of healthcare systems and patient service protocols, ensuring high- quality support and care successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
27
27
years of professional experience
Work History
Ambulatory Service Representative II
Texas Childrens Hospital Kingwood Glen Therapy
11.2017 - Current
- Facilitated patient scheduling and appointment coordination to enhance service delivery efficiency.
- Managed electronic health record (EPIC) systems for accurate patient information retrieval and documentation.
- Verified patient insurance eligibility and benefits.
- Managed high call volumes, addressing patient concerns and directing calls to appropriate departments for timely resolution.
- Assisted patients with financial inquiries, offering guidance on payment plans and available resources.
- Provided exceptional customer service by addressing patient inquiries and resolving issues promptly.
- Collaborated with clinical staff to streamline communication and improve patient flow within the facility.
Financial Counselor
Cypress Fairbanks Medical Center-Conifer Health
01.2016 - 11.2017
- Conduct interviews with patients and/or family members and perform financial clearance function including, but not limited to, negotiating and collecting point of service payments (i.e. co-pays, deductibles, self-pay compact rates) or link to government programs and financial assistance. Record and maintains complete documentation of activities performed on account while in-house. Notify hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.
Billing Specialist
Enhanced Revenue Solutions
11.2011 - 09.2013
- Verified that information in the computer system was up-to-date and accurate. Compiled statistical information for special reports. Created monthly reports for records closed terminated records and completed chart audits. Organized billing and invoice data and prepared accounts receivable and expected revenue reports for controllers. Identified and resolved system and account issues. Prepared & submitted clean claims to various insurance companies either electronically or paper. Interpreted and processed Explanation of Benefits.
- Processed and verified billing statements for accuracy and compliance with company policies.
- Managed accounts receivable, ensuring timely collection of outstanding payments.
Hospital Associate
Pediatrix Medical Group
01.2010 - 11.2012
- Accurate registration of accounts, billing and administrative support to group of physicians. Confirmed patient demographic information including current insurance information. Processed weekly billing for NICU department. Completed and submitted daily duties and monthly statistics. Assisted Medical Director as well as group of physicians with all administrative duties when needed which included purchasing and stocking of supplies when requested.
Receptionist
Houston Heart & Vascular
07.2009 - 10.2009
- Handled day to day functions of a busy cardiologist office with a positive attitude, sincerity and empathy towards patients and developed a trusting relationship with patients and staff. Checked and greeted patients in and out, scheduled appointments, verified patient insurance information and collected any out of pocket expenses. Handled multi line phone system, routed calls and or messages to proper personnel and or department within the office. Balanced daily receipts.
Commercial Insurance Collector
Renaissance Healthcare Systems
06.2007 - 07.2009
- Executed all aspects of medical billing and reviewed patient information concerning insurance, filed UB04 insurance claim forms and patient statements successfully for a total of four facilities.
- Managed patient accounts to ensure timely collection of outstanding balances.
- Analyzed billing discrepancies and resolved issues to enhance payment accuracy.
- Monitored aging accounts and prioritized follow-up actions based on account status.
Medical Biller
Northwoods Urology Associates
12.2005 - 06.2007
- Accurate data entry of patient demographics and health insurance information. Accounts receivable collection. Electronic medical billing of Medicare, Medicaid and all third party insurances.
- Processed and submitted medical claims using advanced billing software.
- Ensured compliance with healthcare regulations and coding standards.
- Reviewed patient accounts to resolve discrepancies and optimize revenue cycle.
- Verified insurance of patients to determine eligibility.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Adhered to established standards to safeguard patients' health information.
Office Manager
DR. Nicolas Xydas Women's Center
12.1998 - 09.2005
- Managed all aspects of medical billing on a daily basis. Supervised and trained employees in daily responsibilities. Participated in problem resolution strategies. Led medical billing and claims processing, verified insurance, obtained authorizations/referrals and surgery scheduling. Physician credentialing. Received cash and check receipts, maintained computer record of bank deposits. Coordinated appointment schedules and resolved scheduling conflicts.
Education
Some College (No Degree) -
Lonestar College North Harris
Houston, TXHigh School Diploma -
Aldine High School
Houston, TX05.1991
Skills
- Physician billing
- Claims appeal procedures
- Insurance processing
- Multi-line phone proficient
- Customer service-oriented
- Pleasant demeanor
- Strong interpersonal skills
- Understands grammar
- Bilingual, fluent in both English and Spanish
- HIPAA compliance
- Patient confidentiality
- Office administration
Languages
Spanish
Full Professional
Timeline
Ambulatory Service Representative II
Texas Childrens Hospital Kingwood Glen Therapy
11.2017 - Current
Financial Counselor
Cypress Fairbanks Medical Center-Conifer Health
01.2016 - 11.2017
Billing Specialist
Enhanced Revenue Solutions
11.2011 - 09.2013
Hospital Associate
Pediatrix Medical Group
01.2010 - 11.2012
Receptionist
Houston Heart & Vascular
07.2009 - 10.2009
Commercial Insurance Collector
Renaissance Healthcare Systems
06.2007 - 07.2009
Medical Biller
Northwoods Urology Associates
12.2005 - 06.2007
Office Manager
DR. Nicolas Xydas Women's Center
12.1998 - 09.2005
Some College (No Degree) -
Lonestar College North Harris
High School Diploma -
Aldine High School
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